NPI | 1821288903 |
---|---|
Former Name | ANNA MARIA SANDICO OCAMPO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 231265) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A100396) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2021-12-22 |